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Contrast-enhanced mammography (CEM) offers a valuable alternative for breast cancer evaluation. This imaging technique provides simultaneous contrast-enhanced and standard mammograms, proving efficient and cost-effective.

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Area of Science:

  • Radiology
  • Oncology
  • Medical Imaging

Background:

  • Mammography and ultrasound are traditional breast cancer imaging tools.
  • Breast MRI offers advanced evaluation but has limitations like availability and contraindications.
  • Contrast-enhanced mammography (CEM) emerges as a promising alternative.

Purpose of the Study:

  • To evaluate the clinical applications of contrast-enhanced mammography (CEM).
  • To review the supporting literature for CEM indications.
  • To present CEM as an alternative to MRI and ultrasound in breast cancer management.

Main Methods:

  • Review of clinical uses and literature supporting contrast-enhanced mammography (CEM).
  • Simultaneous acquisition of contrast-enhanced and standard mammograms.
  • Comparison of CEM with MRI and ultrasound in terms of efficiency, sensitivity, and cost.

Main Results:

  • CEM provides contrast-enhanced information and standard mammograms concurrently.
  • CEM examinations are shorter than MRI.
  • CEM demonstrates comparable sensitivity to MRI for lesion detection and is more cost-effective.

Conclusions:

  • Contrast-enhanced mammography (CEM) is an emerging modality for breast cancer workup and management.
  • CEM offers a practical, efficient, and cost-effective alternative to MRI.
  • The study supports the clinical utility of CEM in breast imaging.